Endobronchial ultrasound-guided transbronchial needle aspiration under non-invasive positive pressure for the diagnosis of lung metastasis due to renal cell carcinoma in a patient with respiratory failure

Takayasu Ito; Shotaro Okachi; Tadasuke Ikenouchi; Futoshi Ushijima; Takamasa Ohashi; Masahiro Ogawa; Masato Nagahama; Keiko Wakahara; Naozumi Hashimoto

Respiratory Medicine Case Reports (Jan 2020)

Endobronchial ultrasound-guided transbronchial needle aspiration under non-invasive positive pressure for the diagnosis of lung metastasis due to renal cell carcinoma in a patient with respiratory failure

Takayasu Ito,
Shotaro Okachi,
Tadasuke Ikenouchi,
Futoshi Ushijima,
Takamasa Ohashi,
Masahiro Ogawa,
Masato Nagahama,
Keiko Wakahara,
Naozumi Hashimoto

Affiliations

Takayasu Ito: Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Japan; Department of Respiratory Medicine, Handa City Hospital, Handa, Japan
Shotaro Okachi: Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Japan; Corresponding author. Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa Ward, Nagoya, Aichi, 466-8560, Japan.
Tadasuke Ikenouchi: Department of Respiratory Medicine, Handa City Hospital, Handa, Japan
Futoshi Ushijima: Department of Respiratory Medicine, Handa City Hospital, Handa, Japan
Takamasa Ohashi: Department of Respiratory Medicine, Handa City Hospital, Handa, Japan
Masahiro Ogawa: Department of Respiratory Medicine, Handa City Hospital, Handa, Japan
Masato Nagahama: Department of Histopathology, Handa City Hospital, Handa, Japan
Keiko Wakahara: Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Japan
Naozumi Hashimoto: Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Japan

Journal volume & issue: Vol. 29

Abstract

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A 65-year-old man with chronic respiratory failure caused by chronic obstructive pulmonary disease, had a pulmonary nodule adjacent to the inlet of right B1 and B3. The patient had undergone a surgery for right renal cell carcinoma and colon cancer 6 years prior. We attempted endobronchial ultrasound-guided transbronchial needle aspiration under non-invasive positive pressure ventilation for diagnosis, with rapid on-site cytology, which was performed without complications. The histological findings revealed lung metastasis involving renal cell carcinoma. Endobronchial ultrasound-guided transbronchial needle aspiration under non-invasive positive pressure ventilation is useful for diagnosing lesions that require access up to the segmental bronchus in patients with respiratory failure. Keywords: EBUS-TBNA, Renal cell carcinoma, Respiratory failure

Published in Respiratory Medicine Case Reports

ISSN: 2213-0071 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the respiratory system
Website: http://www.journals.elsevier.com/respiratory-medicine-case-reports/

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